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1578608980 NPI number — MOLLY GERMASH LM, CPM

NPI Number: 1578608980
Health Care Provider/Practitioner: MOLLY GERMASH LM, CPM

Information about “1578608980” NPI (MOLLY GERMASH LM, CPM) exists in 1578608980 in HTML format HTML  |  1578608980 in plain Text format TXT  |  1578608980 in PDF (Portable Document Format) PDF  |  1578608980 in an XML format XML  formats.

NPI Number : 1578608980 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1578608980",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GERMASH",
    "FirstName": "MOLLY",
    "MiddleName": null,
    "NamePrefix": "MS.",
    "NameSuffix": null,
    "Credential": "LM, CPM",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "GERMASH",
    "OtherFirstName": "MARY",
    "OtherMiddleName": "FRAZIER",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": "LM, CPM",
    "OtherLastNameTypeCode": "5",
    "FirstLineMailingAddress": "PO BOX 80",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "PEASTER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76485-0080",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "972-896-8841",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "226 LEE STREET",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "PEASTER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76485",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "972-896-8841",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/21/2007",
    "LastUpdateDate": "05/21/2008",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "176B00000X",
        "TaxonomyName": "Midwife",
        "LicenseNumber": "97020",
        "LicenseNumberStateCode": "TX",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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